Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $7,762.47	Facility		$66.07	$173.78	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $117.49 / $371.54	Professional		$43.65	$117.49	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $537.03	Facility		$147.91	$323.59	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $141.25	Professional		$43.65	$74.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $169.82	Professional		$57.54	$93.33	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $169.82	Professional		$32.36	$33.88	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.10 / $162.18	Facility		$50.12	$87.10	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $190.55	Professional		$57.54	$95.50	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $204.17	Professional		$58.88	$95.50	$204.17